Reynolds, Terry
Reynolds, Terry is an individual health care provider with primary practice located at 3000 Coral Hills Dr Phoenix Emergency Medicine Of Broward, Llc, Coral Springs FL 33065-4108. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Reynolds, Terry can be contacted via phone (954) 344-3000.Contact Information
Primary practice address
3000 Coral Hills Dr Phoenix Emergency Medicine Of Broward, Llc
Coral Springs FL 33065-4108
Phone: (954) 344-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA3597 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-03520 | North Carolina |
Profile Details
| NPI number | 1295724920 |
|---|---|
| LBN Legal business name | Reynolds, Terry |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2005 |
| Last updated | Jan 3rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295724920 | NPPES |
| Florida | MEDICAID | 291118300 | |
| Florida | Other | E3618 |
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